Lead Director, Affordability Strategy CVS Health CorpLead Director, Affordability StrategyMS$100,000–$231,540 / yearFacilitates collaboration across various functions: Engages with clinical operations, provider networks, analytics, and finance teams to ensure the successful implementation of cost of care programs, emphasizing scalability, operational excellence, analysis of external partners, and enhancement of value-based contract performance. This role will report directly to the Executive Director, Affordability Program Management and be responsible for leading key initiatives across the Network, Clinical and Med Affairs teams across all three lines of business, Commercial, Medicare and Medicaid.
NewSr. Manager - Business Compliance CVS Health CorpSr. Manager - Business ComplianceMS$67,900–$199,144 / yearThis position will work in close partnership with Medicare Compliance, Legal, Medicare Operations Integrity, and the Quality & Audit teams to ensure that all appeals processes are compliant, auditable, and responsive to regulatory expectations. This role will ensure operational alignment with CMS regulations, manage responses to CMS inquiries, and lead readiness efforts for internal and external audit activities for the Medicare Part C and Fast Track Appeals teams.
NewManager - Med-Com University of Mississippi Medical CenterManager - Med-ComJackson, MSPhysical and Environmental Demands: Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, constant activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 25 pounds, occasional driving, frequent reaching, constant sitting, frequent standing, occasional twisting, and constant walking. Maintains scope, budget and schedule integrity though direct management of the team and interaction with the clinical director or project sponsor, including development and maintenance of project management, resource management, cost management, contract management, and communications management.
Compliance Analyst - Office of Integrity & Compliance University of Mississippi Medical CenterCompliance Analyst - Office of Integrity & ComplianceJackson, MSPhysical and Environmental Demands: Requires occasional working hours significantly beyond regularly scheduled hours, occasional traveling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 50 pounds, occasional crouching/stooping, occasional driving, constant sitting, occasional standing, occasional twisting, and occasional walking. Preferred Qualifications: Certification from American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Health Care Compliance Association (HCCA), Association of Clinical Research Professionals (ACRP), and/or Society of Clinical Research Professionals (SoCRA).